Organization Active NPI

Real Talk Counseling From an Urban Perspective

  • Adult Mental Health Clinic/Center
  • Aurora, CO
National Provider Identifier
1619605532
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
REAL TALK COUNSELING FROM AN URBAN PERSPECTIVE
Practice address
2323 S Troy St Ste 5-209
Aurora, CO 80014-1900
Phone
(303) 377-0370
NPI assigned
Aug 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawaune Latieth Ellis, M.S.NPI 1568992741
Title
Executive Director
Phone
(303) 377-0370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2323 S Troy St Ste 5-209
Aurora, CO 80014-1900

Mailing address

2323 S Troy St Ste 5-209
Aurora, CO 80014-1900
Phone (303) 377-0370

Other identifiers 1

IdentifierTypeStateIssuer
2438-01OtherCOOBH COLORADO LICENSE

National Provider Directory

National Provider Directory

Locations

2323 S Troy St
Ste 5-209
Aurora, CO 80014
Phone (303) 377-0370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1619605532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST STE 5-209",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141900",
            "telephone_number": "303-377-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S TROY ST STE 5-209",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141900",
            "telephone_number": "303-377-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL TALK COUNSELING FROM AN URBAN PERSPECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DAWAUNE",
        "authorized_official_middle_name": "LATIETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-377-0370",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBH COLORADO LICENSE",
            "identifier": "2438-01",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.